Individual
DANIELLE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
721 TILGHMAN DR, SUITE 100, DUNN, NC 28334-6063
(910) 892-5635
Mailing address
2413 PROFESSIONAL DR, PO BOX 7594, ROCKY MOUNT, NC 27804-2254
(252) 443-0808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067W3
BCBS
NC
01
—
195347
MEDCOST
—
01
—
198336
MED RISK
NC
01
—
2743631
UHC
—
05
—
7275569
—
NC
01
—
7385878
AETNA
—
Enumeration date
05/19/2006
Last updated
12/08/2008
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